arogyamis.in
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68.178.155.122
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Submitted URL: http://arogyamis.in/
Effective URL: https://arogyamis.in/
Submission: On October 15 via api from US — Scanned from DE
Effective URL: https://arogyamis.in/
Submission: On October 15 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form class="cs_contact_form row cs_gap_y_24" id="cs_form">
<div class="col-md-6 position-relative">
<input type="text" name="fname" class="cs_form_field cs_radius_5" required="">
<label>First Name</label>
</div>
<div class="col-md-6 position-relative">
<input type="text" name="lname" class="cs_form_field cs_radius_5" required="">
<label>Last Name</label>
</div>
<div class="col-md-6 position-relative">
<input type="text" name="phone" class="cs_form_field cs_radius_5" required="">
<label>Phone</label>
</div>
<div class="col-md-6 position-relative">
<input type="text" name="email" class="cs_form_field cs_radius_5" required="">
<label>Email Address</label>
</div>
<div class="col-md-6 position-relative">
<input type="text" name="website" class="cs_form_field cs_radius_5" required="">
<label>Website</label>
</div>
<div class="col-md-6 position-relative">
<input type="text" name="subject" class="cs_form_field cs_radius_5" required="">
<label>Subject</label>
</div>
<div class="col-md-12 position-relative">
<textarea name="message" rows="6" class="cs_form_field cs_radius_5" required=""></textarea>
<label>Message</label>
</div>
<div class="col-md-12 text-md-center">
<button type="submit" class="cs_btn cs_style_1 cs_size_md cs_accent_bg_v1 cs_white_color cs_fs_18 cs_semibold">Send Message</button>
</div>
</form>
Text Content
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